Automation Developer & Revenue Cycle Systems Analyst
About The Position
CVS Health is seeking an Automation Developer & Revenue Cycle Systems Analyst to support operational efficiency initiatives within its Revenue Cycle organization. The role develops, maintains, and enhances automated solutions to improve workflows, reduce manual effort, and support front-line operations. It requires technical expertise in automation technologies, programming, and healthcare revenue cycle processes. The position works with revenue cycle leadership, operational teams, call center representatives, and other end users to identify automation opportunities, gather requirements, and translate business needs into technical solutions. It also supports insurance overpayments and patient refund check processing, monitors SFTP file transfers, and works with Cognizant and other revenue cycle platforms. The role maintains documentation and ensures compliance with organizational policies, data security standards, and healthcare regulations.
Requirements
- Experience programming with Visual Basic/VBA scripting.
- Advanced knowledge of Microsoft Excel, including creating and maintaining macros and automated reporting tools.
- Experience using Boston Workstation to develop and support automated business processes.
- Python/Selenium experience for web automation and browser interaction.
- Experience working with Cognizant applications and processes.
- Experience managing SFTP file transfers and automated file movement processes.
- Strong analytical, troubleshooting, and problem-solving skills.
- Excellent communication and customer service skills.
- Bachelor's degree in Computer Science, Information Technology, Engineering, a related field, or equivalent work experience.
Nice To Haves
- Selenium experience to automate web-based processes and interactions with websites and application interfaces.
- Experience with application programming interfaces (APIs).
- Experience in healthcare revenue cycle operations.
- Knowledge of insurance payment reconciliation, overpayment processing, and patient refund workflows.
- Experience supporting call center operations and customer service teams.
- Familiarity with process improvement methodologies and workflow optimization.
- Experience documenting technical processes and creating user guides.
Responsibilities
- Design, develop, test, and maintain automation solutions using Visual Basic (VB) scripting and related technologies.
- Create, modify, and support Microsoft Excel macros and VBA-based automation tools.
- Develop and maintain automations within Boston Workstation to improve operational performance and productivity.
- Review claim data and quality assure claim examples in Athena Health.
- Use Python and coding to implement automation through web-based platforms and applications.
- Troubleshoot automation issues, identify root causes, and implement sustainable solutions.
- Partner with revenue cycle leadership and operational teams to identify workflow automation and process-improvement opportunities.
- Provide technical support and customer service to call center representatives and other end users.
- Gather stakeholder requirements and translate business needs into technical solutions.
- Support insurance overpayment and patient refund check processing.
- Manage and monitor file transfers using SFTP and related technologies.
- Work with Cognizant and other revenue cycle systems to support operational initiatives.
- Maintain documentation for automation processes, workflows, and technical solutions.
- Ensure compliance with organizational policies, data security standards, and healthcare regulations.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- CVS Health bonus, commission, or short-term incentive program, subject to eligibility
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What This Job Offers
Job Type
Full-time
